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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> pll Work to be Done in Accordance with <br /> City Ordinance <br /> y . <br /> i <br /> Eveiett, W:r�h ngton.. ./L:.6�+.�...�,?Zc�..__..., 19.Ei�� <br /> /L. / � <br /> Locafion._.. .izi.3..a .�.F.cJS+K.Y...y..............._....--.. <br /> Owne r... .... .�<k:t.�.....�./4.4�%�:1�:-x`t►,4,,..... <br /> Applicant. .... ....�7••....�..[L�k..................... .......... .. <br /> Rnugh piping inspection - � <br /> Pipe in excess of 6'J' Gas Stoves <br /> Gas refngerators . Gas water heaters . _. -� <br /> Gas space featers to 70,000 B.T.U. input _- <br /> Gas space L-eaters ovcr 70,000 B.T.U. input ____ <br /> Gas furnaces to 40J,000 D.T.U. input ' <br /> Gas furnaces over 400,000 D T.U. input - <br /> Conversion units to 400,000 B.T.U. input _ �- <br /> Corn�ersion units over 400,000 B.T.U. input - _ <br /> Small appliances --_- _ . -__- - - - - -- ---- <br /> - ----•--- — - - N-�-- <br /> �Call dack Inspection _ Fee Paid $ . <br /> . ...... __. . . . _ ? .- <br /> _ __ _ _ . . Applicant <br /> sY.,����� . - - . <br /> Plans approved ancl Pormit granted as requested herein <br /> �_�i/'� <br /> (a �f` _ � Inspecfor <br /> f.��Y ;� r�� <br /> PERMIT '��`: '{ �' �� � �� <br />